San Juan College

NPI #1679740013 in Farmington, New Mexico

Provider Information

NPI Number
1679740013
Entity Type
Organization
Organization Name
San Juan College
Primary Specialty
Clinic/Center - Dental
Enumeration Date
May 14, 2008
Last Updated
May 14, 2008

Practice Location

Address
4601 COLLEGE BLVD
Address 2
DENTAL CLINIC
ZIP Code
87402-4609
Phone
(505) 566-3126

Authorized Official

Name
DR. CAROL SPENCER
Title
PRESIDENT
Phone
(505) 566-3209

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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